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Claims Examiner – Workers’ Compensation

https://www.roberthalf.com Logo

Robert Half

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Location:
United States , Alpharetta

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Category:

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Contract Type:
Not provided

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Salary:

30.00 - 31.00 USD / Hour

Job Description:

This Workers’ Compensation Claims Examiner role requires an analytical, detail‑oriented professional with strong decision‑making, communication, and case‑management skills. The ideal candidate must be licensed to handle Workers’ Compensation claims in Georgia and have a minimum of 3 years of Lost Time Workers’ Compensation claim handling experience. This role is best suited for individuals who can manage claims independently, maintain accurate documentation, provide timely communication, and deliver superior customer service while operating within a fast‑paced, compliance‑driven environment.

Job Responsibility:

  • Provide accurate and timely assessments of Workers’ Compensation Lost Time claims
  • Conduct thorough investigations, evaluate coverage, assess loss exposure, and manage cases according to established guidelines
  • Identify and appropriately address potential fraud, subrogation opportunities, and coverage concerns
  • Establish and execute effective case strategies to ensure timely and appropriate claim resolution
  • Deliver superior customer service to insureds, claimants, agents, underwriters, and internal partners
  • Communicate timely updates regarding claim activity, trends, and issue escalation
  • Maintain professional and effective interactions with all stakeholders
  • Ensure all claim files are up‑to‑date using a consistent diary system to monitor developments, follow‑ups, and required actions
  • Maintain accurate documentation aligned with regulatory requirements and internal quality standards
  • Achieve consistent compliance in investigation, coverage evaluation, loss assessment, and case management practices
  • Contribute to a collaborative team environment by demonstrating high motivation, teamwork, and alignment with departmental goals
  • Provide guidance and direction to team members as needed to support effective claim handling across the team

Requirements:

  • Must hold a valid adjuster's license to manage Workers Compensation claims or obtain one promptly after starting employment
  • A minimum of 3 years of experience handling Workers Compensation claims is required
  • Strong analytical skills with the ability to evaluate and interpret complex information effectively
  • Excellent organizational and time management skills, with the ability to handle multiple tasks simultaneously
  • Proven ability to work collaboratively in team settings and maintain positive working relationships
  • Exceptional verbal and written communication skills to convey information clearly and effectively
  • Bachelor's degree or equivalent detail-oriented experience is preferred
  • Commitment to delivering superior performance and customer satisfaction
  • Current Georgia Workers’ Compensation Adjuster License (required)
  • Additional licenses: Florida, South Carolina, North Carolina (strong plus)
  • 3+ years handling Workers’ Compensation Lost Time claims
  • Strong organizational skills, multi‑tasking ability, and proficiency managing a high‑volume workload
  • Demonstrated critical thinking, decision‑making, and analytical capability
  • Excellent written and verbal communication skills
  • Adjuster’s license to handle Workers’ Compensation claims (must be active or obtained immediately upon hire)
  • Minimum 3 years of Workers’ Compensation claim handling experience
  • Bachelor’s Degree preferred, or equivalent professional experience
  • Strong time‑management skills and the ability to handle multiple priorities simultaneously
  • Ability to work effectively with diverse individuals and teams

Nice to have:

  • Florida license strongly preferred
  • South Carolina & North Carolina licenses also beneficial
What we offer:
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan

Additional Information:

Job Posted:
April 05, 2026

Employment Type:
Fulltime
Work Type:
On-site work
Job Link Share:

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